Individual
MOHAMED Y AHMED
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.B.B.CH
Contact information
Practice address
408 N STATE OF FRANKLIN RD STE 31G, JOHNSON CITY, TN 37604-6088
(423) 431-4946
Mailing address
1021 W OAKLAND AVE STE 310, JOHNSON CITY, TN 37604-2192
(423) 302-6565
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
67940
TN
2080P0214X
Pediatric Pulmonology Physician
Primary
67940
TN
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
04/08/2016
Last updated
05/15/2024
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